The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-3-17 SPRINGPIEl..D ~% ZO~"~ ~ t" '!$,~'",,J INITIALS ~r, * '. . "~' .~,~.,i DATE g..-\'K"--o~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 · FAX: (541)726-3689 ,., ~ SOURCE 0f\ .c6p?..J ELEl.:J .1<ICAL PERMIT APPLICATION ~ I / ~. CIty Job Number CO""" ZC>OJ?- O<:::)J bl. Date ~I ~ /0 Z 1. '[OCA'110N OF INSTALLATION: 3. COMPLETE FEE SCHEDULE BE{OW ~JJ.,. c. C 1! } (' LE8AL DESCRIPTION 17D 234 t.J 1\uO qLU~Lt..) ([:l_~. 007DO JOB DESCRIPTION ~6j IT C.oWu~T 'k"'..'<:~~,;r,:~}~,~~,<'~'''''-l'l'''~"~i:~''> '~t~t,,<-, ."'~~':';}"""-!.'" .' .._-...,,'-'.~...:\d.f< };.<>>~'~ '.':'~;I~;'.V''?'k'~'; : :,;:j~~::,::;:,',;;CTT~;: QF~~SPR'ThJGFIELD;:.nRFG€lriJ;:\:"..~::;.,,:t; t~.> ~.-;<<J;} __< ~~~!t >>)2-;; i"'\"7~"f'~J~1~,~..<, ...::-',;;;" >, ", ,;.~~"~;.~ r")','. :M;.~"'u.r ,t-.~-:-'~.., C ,," Ore("nn fBW f'?t;yires vou m .- SupervIsor LIcense Number -/f1J '3 A~,: r I" -. acSpt2tJeBf?~wtH~b'3~UUnf~eders ! ~\'o~:',r~"c 1 Csnisr. 'rilOS:;) rUleS 270 se~ forth ExpiratIon Date (D lOin ()/-\;; tJ.J2-00i -01'1v:Wl~~f~l\q.9~!l5'lfl~ocation - , OOSO. YOL! mc.y otrt~eslm&the I'u:es by cEllhlC t/1~ c0nl~1Gl (Mg~:t~~d~~~oi1e lIuiIIiJeT:or ~he. O.f~~iM~~~\\'oO:R~~tion Center IS f-SOll.:s3:2-2344). Over 600 Amps or ~,ooo Volts see "B" abov~ D. Branch Circuits S'~?R~:_:'~~ ~wners a:e~~ <;'\\ -* r, h+() A/- #- ~~ 9~LJ\ Phone 7vv- (,p7S" '~nnCE= SIgn/Outline LIghting $ 55 00 OWNER INSTALLATION THiS PERM:r S~if Energy/ResldentJaI $ 2800 The installatIOn IS bemg made on property I owrAthT<iI50RiZED b~11fj I.. ~!Jf1GJfiJdrliaWORf{ /' $ 50 00 IS not Intended for sale, lease or rent COMMEN~~ E ,cTJi~R~rp~tN~fee is $50.00 + Surcharges AN ~U vt1/S ARAMnfll\tCI"LI'"t"U'> Owners gn ure ~'Y180DAY~~TAE'OP~ c ~O --'- 8% State Surcharge [, 10% Admmlstratlve Fee ) 5% Technology Fee Z S""V Permits are non-transferable and expire if work is not started within 180 days ofissuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ElectrIcal Contractor SSU :::P? t'1 Address \ ~~b .)J. {~V51 CIty jf~~ Phone ~{- C>315 Constr Contr Number ExpIratIOn Date ~ - '\- A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq ft. or less Each addItIonal 500 sq ft or portIon thereof $11700 $ 21 00 Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $55 00 B. , Ser.vices or Feeders - InS;,allation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83 00 $138 00 $180 00 $413 00 $ 55 00 $ 55 00 $ 76 00 $110.00 New Alteration or Extension Per Panel One CIrCUIt Each AddItIOnal CIrcuIt or WIth Service or Feeder Penmt $ 48 00 $ 4.00 - E. Miscellaneous (Service/feeder not included) -Each Installation Pump or lITIgatIOn $ 55 00 TOTAL b3~ Shared Dnve(T )/BUlldmg Fonns/Electncal Pernut ApphcatIon 7-07 doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00362 ISSUED: 03/17/2008 APPLIED: 03/17/2008 EXPIRES: 09/17/2008 VALUE: SITE ADDRESS: 526 66TH ST ASSESSOR'S PARCEL NO.: 1702341300700 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Fibre optic conduit TYPE OF USE: New Public Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: MILL & D ST DISTRICT NO 19 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor ,~t\' Crc.'l1on law requires you~ lo.l'ense OWNER F' i'l \,', ' ", d b the Oregon mtr ,,,,r,,.')m Y .. _.._ "",tfnrth , -:'\t, )(' r-le'8l:JI'L~~~J i~ ~~:\P: 952-0li 1- vv co les 0 e t:lO ~ 0090, You may ob#~P,~~~e te\epho~e callEIg the cen~lI~~n<UJ'M1tp~Y1~icat'on number 10r the. ~fJfrocd~344). Center I~ater Type: Range Type: Energy Path: Sprinkled Building Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description n/a I DEVELOPMENT INFORMATION I Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Pa~~rive Rqd: i,",E \NOR\{ N@t:r&~ {:~vS~~n_ EX?'RE \f T \S Not THIS PERM\ R lH\S PERM\ .1-l\'"lnF~n "NOE'J~Ol\'Et'\ i=OR PUBPL I yn. m~'~J-\I~""~ Sidewalk Type: Downspouts/Drains: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal!:e 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00362 ISSUED: 03/17/2008 APPLIED: 03/17/2008 EXPIRES: 09/17/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid. Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $5.00 $6.00 $2.50 $50.00 3/17/08 3/17/08 3/17/08 3/17/08 1200800000000000237 1200800000000000237 1200800000000000237 1200800000000000237 Total Amount Paid $63.50 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reouired Insoections I Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. d~~;:. 3/17 / ~f!)D~ , Date Pal!:e 2 of2 225 Fifth Street Spriqgfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00362 COM2008-00362 COM2008-00362 COM2008-00362 Payments: Type of Payment Cash Change Job/Journal Number COM2008-00362 COM2008-00362 COM2008-00362 COM2008-00362 Payments: Type of Payment Cash Change cRecemtl RECEIPT #: 1200800000000000237 Date: 03/17/2008 DescriptIOn Low Voltage - CommercIal Indus + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By SPFD SCHOOL DIST 19 SPFD SCHOOL DIST 19 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb In Person dJb In Person Payment Total: DescriptIOn Low Voltage - CommerCIal Indus + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By SPFD SCHOOL DIST 19 SPFD SCHOOL DIST 19 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb In Person dJb In Person Payment Total: Page 1 of 1 9:23:14AM Amount Due 5000 250 600 5.00 $63.50 Amount Paid $65 00 ($1 50) $63.50 Amount Due 5000 250 600 500 $63.50 Amount Paid $65 00 ($1 50) $63.50 3/17/2008